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bandmom

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Hello everyone, I haven't posted here in years but still occasionally come here for the wealth of information and advice.

In case no one remembers me, my 22 year old daughter has uncontrolled partial complex seizures. Over the past 8 years she's been on Trileptal, Lamictal, Lamictal with Vimpat, Keppra (only lasted 5 days), Trileptal with Vimpat, Zonegran with Vimpat, Vimpat alone, and now Tegretol with Vimpat. Her seizures have increased from a couple per week to a couple per day over the past few months. Seemed to get worse when she tried Vimpat alone and her dose of Vimpat was raised. Tegretol hasn't done anything to help, and in fact I think has only made it worse. When I asked if the higher dose of Vimpat could be the problem the doctor didn't think that was possible.

She managed to get a degree in Physics and studied abroad for four months in Scotland. Most of the time she was in college she was on Lamictal, which I preferred because it seemed the "safest" as far as unwanted side effects. She plans to go back to Scotland for a year of grad school in engineering this fall. I don't feel as confident sending her as I did the first time she went, we really have our work cut out for us to try to get some improvement before she goes. I'd like to focus on nutritional aspects too. Have read here about Magnesium and Vitamin D as possible factors. Doctor says her last Magnesium level taken in November was normal though. She's got some depression and anxiety but hasn't gone very far with the therapy recommended by her doctors.

And I feel like we're never satisfied with her doctors, she's changed several times and I don't want her to be labeled a difficult patient who can't pick a doctor, even though I think she has a right to keep changing until she finds the right fit. She's been to both major Cleveland hospitals, now we're considering going back to the first one again, after leaving it for the other one 3 years ago.

She doesn't like the idea of joining the forum herself, although I've suggested it many times. Her lack of independence and not driving is getting to her lately, which is a major reason why she wants to return to Scotland. Much better public transportation gave her the feeling she could do whatever she wanted there. Sorry if this was a bit long!
 
Hi, and welcome back to the forums;
It is great your daughter is trying to be independent, but it sounds like seizure control and controlling her anxiety and depression should take priority over schooling and travel at this point. I'm not sure what to recommend as far as epilepsy centers in your area, but is she a candidate for surgery? Any of the neurostimulators? Just some thoughts I had, and others will soon add theirs as well. Good luck to you and your daughter!
 
Thanks masterjen. She has been told she's a candidate for surgery, based on her most recent VEEG. But she doesn't feel ready to go the surgery route right now. Her doctors have not recommended neurostimulators. I think we've run out of medications options at this point. She had definite worsening of depression on Keppra and Zonegran, which is too bad because the Zonegran seemed to be working on the seizures for the month she was on it. Now the higher dose of Vimpat with Tegretol seems to be causing more seizures.

I agree with you that seizure and depression/anxiety control should be the priority. But she feels she will be much happier going to school in the UK. And she doesn't want to put off going. She is ready to give up and live with daily seizures but I don't want her to. Not when she had better seizure control 6 months ago than she does now. There has to be something we can do. Made an appointment today to go back to the doctor she left almost 3 years ago. Wondering if we should try acupuncture next. I've heard it's not very helpful to epilepsy but maybe worth a try for the depression.
 
Hey bandmom, welcome back!

I'd like to focus on nutritional aspects too. Have read here about Magnesium and Vitamin D as possible factors. Doctor says her last Magnesium level taken in November was normal though.
Most tests for magnesium aren't particularly accurate because of the way the body stores and uses magnesium. Not sure if that's the case for the test your daughter had done, but worth keeping in mind. It's unlikely that a magnesium supplement could stop or reduce your daughter's seizures all by itself, but it might help as an adjunct to medication. A very small study suggests that it could have a beneficial effect along those lines: http://www.ncbi.nlm.nih.gov/pubmed/22547512 Hopefully there will be a larger, more comprehensive study done to confirm or refute the results.

I've found that at the very least, magnesium helps me sleep better. I make sure to take it in a well-absorbed form like magnesium taurate, magnesium citrate, or magnesium glyconate.

Best of luck to you and your daughter. I hope she gets better control of her seizures and is able to get back to school in good health.
 
I was unable to have surgery so my neuro suggested a VNS. I got one and it has helped with my seizures a ton. I was having at least 20 seizures a month and now I'm having on average about 7. As long as I feel the seizure coming on I can usually stop it.

The VNS works good for some people and there have been others who don't get any help from it at all.

Here's a good thread to read about it.

http://www.coping-with-epilepsy.com/forums/f23/my-vns-experience-22263/
 
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